Active NPI 1326484783 Individual Practitioner Male Practitioner

Dr. Mohammad Raza Ali , MD

Hospitalist • Bethlehem, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mohammad Ali, MD is a certified Hospitalist practicing in Bethlehem, PA. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Ali delivers high-quality medical care to the local community at 2545 SCHOENERSVILLE RD.

Dr. Ali maintains professional affiliations with Post Acute Medical Pllc, Pennsylvania Hm Associates, Pc, Lehigh Valley Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2545 Schoenersville Rd

Bethlehem, PA 180177300

Telephone 4848849677

Fax 4848849297

Associated Practice Facility / Clinic

🏢 Lehigh Valley Hospital Muhlenberg Facility NPI 1598743585

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Bethlehem, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -6.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 19.0 Yrs

Regional Practice Density

39 Specialists

Practicing in Bethlehem, PA (1424 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ali (14 Years) 14 Yrs

Bethlehem Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	630	214	$278.51	$74.24
99239 Hospital discharge day management, more than 30 minutes	212	207	$412.09	$108.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	159	102	$398.88	$112.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	125	124	$774.87	$162.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	28	$525.87	$120.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	694	248	$262.78	$76.16
99239 Hospital discharge day management, more than 30 minutes	221	208	$387.22	$110.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	87	$376.75	$114.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	106	$735.75	$156.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$459.11	$114.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	572	209	$249.41	$68.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	474	222	$354.58	$99.00
99239 Hospital discharge day management, more than 30 minutes	186	181	$369.06	$101.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	81	$703.88	$187.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$476.42	$118.49
99217 Hospital observation care on day of discharge	17	17	$246.35	$69.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	658	251	$228.91	$70.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	506	245	$337.06	$101.41
99239 Hospital discharge day management, more than 30 minutes	230	212	$344.37	$104.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	123	$664.15	$192.98
99217 Hospital observation care on day of discharge	36	36	$227.17	$70.70
99220 Hospital observation care, typically 70 minutes	31	31	$614.29	$178.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$395.05	$134.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	631	276	$227.11	$72.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	419	214	$345.02	$103.68
99239 Hospital discharge day management, more than 30 minutes	204	196	$343.83	$106.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	122	$667.22	$200.13
99217 Hospital observation care on day of discharge	30	30	$239.87	$72.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$414.45	$139.29
99220 Hospital observation care, typically 70 minutes	19	19	$571.21	$186.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	618	210	$230.19	$72.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	308	138	$331.72	$102.51
99239 Hospital discharge day management, more than 30 minutes	220	210	$341.08	$104.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	113	$652.07	$199.56
99217 Hospital observation care on day of discharge	27	27	$232.89	$72.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$440.62	$135.82
99220 Hospital observation care, typically 70 minutes	22	22	$598.45	$183.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$139.00	$51.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	210	79	$221.31	$71.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	54	$318.57	$102.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	52	$205.00	$103.94
99213 Established patient office or other outpatient visit, typically 15 minutes	81	72	$140.00	$69.70
99239 Hospital discharge day management, more than 30 minutes	70	69	$329.43	$105.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$627.49	$200.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$215.00	$113.03
36415 Insertion of needle into vein for collection of blood sample	21	18	$10.00	$2.94
99217 Hospital observation care on day of discharge	14	14	$222.57	$71.84
99220 Hospital observation care, typically 70 minutes	12	12	$567.33	$183.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$422.09	$134.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	86	$209.71	$102.34
99213 Established patient office or other outpatient visit, typically 15 minutes	49	41	$142.55	$70.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$322.56	$159.78
36415 Insertion of needle into vein for collection of blood sample	16	14	$18.94	$2.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	12	$28.67	$14.07

Medical Specialties & State Licenses

CMS Verified: 2021-06-07

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License PA MD458554

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License PA MD458554

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1031707870002 (PA)

Commercial Insurance / Payer ID Medicare Ptan

547850PZP (PA)

Hospital & Practice Group Affiliations

Post Acute Medical Pllc

3370 High Point Blvd, Bethlehem, PA 180177805

Phone: 8884087008

Lehigh Valley Physician Group

200 E Brown St, East Stroudsburg, PA 183013006

Phone: 2727624378

Lehigh Valley Physician Group

2100 Mack Blvd, Allentown, PA 181035622

Pennsylvania Hm Associates, Pc

206 E Brown St, East Stroudsburg, PA 183013094

Phone: 5704214000

Lehigh Valley Physician Group

1210 S Cedar Crest Blvd, Allentown, PA 181036235

Phone: 6104023888

Advanced Inpatient Medicine Lehigh Pc

700 E Broad St, Hazelton, PA 182016835

Phone: 5705014000

Secondary Practice Locations

2838 Route 611

Tannersville, PA 183727923

Phone: 5704266010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Ashokkumar Gaba , MD

Hospitalist

NPI 1003171810

Doctor of Medicine (M.D.)

Kathryn Pisarcik

Hospitalist

NPI 1003236290

Christine Gabrielle , CRNP

Nurse Practitioner - Family

NPI 1003603150

Certified Registered Nurse Practitioner

Dr. Gonzalo Pimentel , MD

Internal Medicine

NPI 1013940592

Doctor of Medicine (M.D.)

Dr. Jeffrey Faidley , MD

Hospitalist

NPI 1023033404

Doctor of Medicine (M.D.)

Dr. Mihaela Rosca , MD

Hospitalist

NPI 1043404155

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location June 07, 2021

Registered at 2545 SCHOENERSVILLE RD, BETHLEHEM, PA 180177300 (Tel: 4848849677)

📍

Updated Business Mailing Address June 07, 2021

Registered at 2100 MACK BLVD, ALLENTOWN, PA 181035622 (Tel: 4848840617)

📍

Updated Practice Location March 13, 2019

Registered at 2838 ROUTE 611, TANNERSVILLE, PA 183727923 (Tel: 5704266010)

📍

Updated Business Mailing Address March 13, 2019

Registered at 206 E BROWN ST, EAST STROUDSBURG, PA 183013006 (Tel: 5704214000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2019

Family Medicine (License #MD458554 in PA)

✅

NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2016

Registered at 2323 MEMORIAL AVE, SUITE #10, LYNCHBURG, VA 245012661 (Tel: 4342005200)

📍

Updated Business Mailing Address August 08, 2016

Registered at 2323 MEMORIAL AVE, SUITE #10, LYNCHBURG, VA 245012661 (Tel: 4342005200)

👤

Provider Name / Credentials Updated August 08, 2016

Recorded as MOHAMMAD ALI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Family Medicine (License #MD458554 in VA)

🟢

Initial NPI Registration & Enumeration May 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326484783

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 13, 2013

Last Update: June 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2100 Mack Blvd

Allentown, PA 181035622

Phone: 4848840617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.